Individual
MRS. JESSAMYN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2281 US HIGHWAY 68 S, BELLEFONTAINE, OH 43311-8904
(937) 935-1619
Mailing address
316 COUNTY ROAD 25 S, BELLEFONTAINE, OH 43311-9475
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
10722
OH
Other
Enumeration date
02/13/2023
Last updated
10/25/2023
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